Modified radical mastectomy sparing one or both pectoral muscles in the treatment of breast cancer: intra and postoperative complications

CONTEXT AND OBJECTIVE: Modified radical mastectomy is widely utilized in breast cancer treatment. However, no prospective comparison has yet been made between the Madden technique (preservation of the pectoralis minor muscle) and the Patey technique (resection of this muscle). The aim of this work was to compare these two modified radical mastectomy techniques, by analyzing their degrees of difficulty and complications. DESIGN AND SETTING: Randomized trial at the Breast Unit of Hospital Araújo Jorge, Goiás; and Faculdade de Medicina da Universidade Federal de Goiás. METHODS: 430 patients with breast cancer with an indication for modified radical mastectomy were included in the program, of whom 426 patients were available for analysis (225 allocated to Patey and 201 to Madden). The chi-squared and Student t tests were used for analysis. RESULTS: The patients’ demographics were well balanced between the two groups. The mean duration of the surgical procedures was 105 (± 29.9) and 102 minutes (± 33), for the Patey and Madden groups, respectively (p = 0.6). Hospitalization duration was 2.3 days for both groups. The mean number of lymph nodes resected was 20.3 (± 7.6) for Patey and 19.8 (± 8.1) for Madden (p = 0.5). There were no differences in terms of vascular or nerve sections, hematomas or infections. The surgeons reported the same degree of difficulty for the two methods. CONCLUSION: The removal of the pectoralis minor muscle did not influence any of the variables studied. Therefore, either technique can be performed, at the surgeon’s discretion.

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Bibliographic Details
Main Authors: Freitas-Júnior,Ruffo, Oliveira,Evelling Lorena Cerqueira, Pereira,Rubens José, Silva,Marco Aurélio Costa, Esperidião,Maurício Duarte, Zampronha,Rossana Araújo Catão, Ribeiro,Luiz Fernando Jubé, Queiroz,Geraldo Silva, Jorge,Estanislau Araújo, Rahal,Rosemar Macedo Sousa, Ferro,Júlio Eduardo, Paulinelli,Régis Resende, Barbosa,Silvânia Fátima Coelho
Format: Digital revista
Language:English
Published: Associação Paulista de Medicina - APM 2006
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802006000300004
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